Charles Max Lesslie Valid NPI
Individual provider · Pharmacist · Pooler, GA
- NPI
- 1548864630
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- RPH029159 (GA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-11-30
- Last updated
- 2020-11-30
Practice location
500 Pooler Pkwy
Pooler, GA 31322-5171
(912) 748-5170